A Computed Tomography Scan Near Miss of an Intraorbital Wooden Foreign Body.

Autor:	Farahvash A; Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada., Wang AMQ; Division of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Cardemil F; Division of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Chew HF; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada., Gill HS; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada., Antonyshyn OM; Division of Plastic, Reconstructive & Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Plastic surgery (Oakville, Ont.) [Plast Surg (Oakv)] 2024 Feb; Vol. 32 (1), pp. 158-161. Date of Electronic Publication: 2022 May 22.
DOI:	10.1177/22925503221101954
Abstrakt:	When intraorbital wooden foreign bodies are missed, the consequences can be devastating. While the gold standard diagnostic imaging is computed tomography (CT), it has low sensitivity. We present a 61-year-old man with a bamboo injury to his right eye. He underwent two CT scans that failed to raise the possibility of intraorbital foreign bodies. Upon additional review, a rectangular-shaped pocket of air was identified in the orbit which was most consistent with wooden foreign bodies based on the clinical history. A combined mid-lid approach followed by a transconjunctival and transcaruncular extension were employed to remove several wooden splinters. Postoperatively, due to recurrent orbital compartment syndrome, he required a second decompression with an inferior rim osteotomy. He had good recovery at 3 months follow-up. Overall, intraorbital wooden foreign bodies are challenging to diagnose due to imaging limitations. Providing a clear history and suspected diagnosis to radiology is critical for diagnosis. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© 2022 The Author(s).)
Databáze:	MEDLINE
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